WESTERN KENTUCKY NEUROLOGY INC (NPI# 1083938567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083938567 |
| Entity Type | Organization |
| Organization Name | WESTERN KENTUCKY NEUROLOGY INC |
| Practice Address |
300 S 8th St Suite 282 West Murray KY 42071-2400 |
| Mailing Address |
2108 Darby Dan Dr Murray KY 42071-7119 |
| Practice Telephone | 7134191592 |
| Mailing Telephone | 7134191592 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-06-04 |
| Authorized Official Name | DR. CHRISTOPHER MICHAEL KING (NEUROLOGIST) |
| Authorized Official Telephone | 7134191592 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
42243 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH PROVIDER ID | 11877669 | 01 | |
| KY | 7100084760 | 05 | |
| TYPE 1 NPI NUMBER | 1043474844 | 01 | |
| KY | KENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE NUMBER | 42243 | 01 |
| Street Address |
300 S 8TH ST SUITE 282 WEST |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006295 | James David Outland | Dermatology | 300 S 8th St, Suite 405, Murray, KY 42071-2400 | 2005-07-12 |
| 1306378682 | Kathy Crawford | Nurse Practitioner | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2017-03-28 |
| 1114301801 | Margaret Claire Norsworthy | Nurse Practitioner | 300 S 8th St, Ste 301e, Murray, KY 42071-2400 | 2015-07-13 |
| 1417346172 | Linda Dinh Smith | Physician Assistant | 300 S 8th St, Suite 182 West, Murray, KY 42071-2400 | 2015-01-20 |
| 1558762674 | Alysha Lauren Taylor | Physician Assistant | 300 S 8th St, Murray, KY 42071-2400 | 2014-09-08 |
| 1104230598 | Melissa Johnson | Clinical Nurse Specialist | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2014-06-13 |
| 1295070571 | Erica A Bazzell | Nurse Practitioner | 300 S 8th St, Suite 480w, Murray, KY 42071-2400 | 2012-11-28 |
| 1124372677 | Loreta Garretson | Internal Medicine | 300 S 8th St, Suite 403e, Murray, KY 42071-2400 | 2012-11-06 |
| 1881943140 | Richard E Blalock II | Orthopaedic Surgery | 300 S 8th St, Suite 284w, Murray, KY 42071-2400 | 2012-09-02 |
| 1558620740 | Valerie S Fisher | Internal Medicine | 300 S 8th St, Suite 480w, Murray, KY 42071-2400 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280454 | Alan Goldman | Psychiatry & Neurology | 5810 S 300 E, # 300, Murray, UT 84107-6178 | 2006-03-23 |
| 1447221478 | Pramit Bhasin | Psychiatry & Neurology | 300 S 8th St Ste 301e, Murray, KY 42071-2403 | 2006-01-28 |
| 1821435058 | Kathleen E Mckee | Psychiatry & Neurology | 5171 S Cottonwood St Ste 810, Murray, UT 84107 | 2013-05-29 |
| 1285991208 | Cory Kogelschatz | Psychiatry & Neurology | 5171 S Cottonwood St Ste 810, Murray, UT 84107-5705 | 2012-04-15 |
| 1831476308 | Ihc Health Services Inc | Psychiatry & Neurology | 5171 Cottonwood St, Ste 810, Murray, UT 84107-5705 | 2011-11-10 |
| 1053600858 | Marilyn Jean Mckasson | Psychiatry & Neurology | 5171 S Cottonwood St Ste 810, Murray, UT 84107 | 2011-04-01 |
| 1316252802 | Neeta Lal | Psychiatry & Neurology | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2010-08-10 |
| 1992017800 | Glen Thomas Robinson | Psychiatry & Neurology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2010-07-08 |
| 1730405408 | Alex Jonathan Nelson | Psychiatry & Neurology | 5801 S Fashion Blvd, Ste. 180, Murray, UT 84107-6159 | 2010-04-20 |
| 1235392747 | Jordan Reichman | Psychiatry & Neurology | 5171 S Cottonwood St Ste 810, Murray, UT 84107-5705 | 2008-07-03 |
| Find all providers in MURRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.